Digestive disorders during child bearing are a very common occurrence. After all, all the organs of a woman undergo great changes. This can lead to nausea, vomiting, heartburn, and other uncomfortable conditions. Undoubtedly, these feelings overshadow the period of bearing a child, and therefore a woman seeks to get rid of them. Can Motilium be used during pregnancy and how should it be used?
What is this drug?
This drug is known as an antiemetic drug. Therefore, Motilium is often used for nausea. Due to its pharmacological properties, it exerts pressure on the lower sphincter of the esophagus, thereby accelerating its emptying. In addition, the drug does not affect the secretion of gastric juice.
Pregnant women who suffer from toxicosis may be prescribed Motilium for nausea. However, in this case, it is necessary to take into account the concomitant diseases of a woman and the individual tolerance of drugs.
The composition of the drug
The active substance of this drug is domperidone. It is a dopamine antagonist and has an antiemetic effect. Therefore, the use of "Motilium" with vomiting is quite effective.
The active substance also has poor absorption, so it is difficult for him to overcome the blood-brain barrier (BBB). Extrapyramidal side effects are rarely observed from taking this medication. However, it is noted that domperidone affects the production of prolactin by the pituitary gland.
In addition to domperidone, Motilium also contains lactose monohydrate, corn and potato starch, cellulose, as well as povidone, magnesium stearate, cottonseed oil, sodium lauryl sulfate. The shell of the tablet is hypromellose and sodium lauryl sulfate.
Release form
Most often, the drug is found in the form of tablets. However, the release form of Motilium may also be in the form of a suspension. The latter is most often used in the treatment of children.
Motilium tablets is a round biconvex film-coated tablet. The color is usually white or slightly cream. On the tablets are inscriptions: JANSSEN on the one hand and "M 10" on the other.
Tablets contain 10 mg of active ingredient. They are sold in blisters for 10 or 30 pieces. The package contains one blister and instructions for using the drug.
Suspension "Motilium" is sold in bottles. A dosing pipette is included with them. In addition to the active substance of domperidone, the composition includes sweeteners, thickeners, water and other components. Precisely because the drug in such a dosage form has a sweet taste, it is also called syrup.
The expiration date of Motilium, as well as other drugs, is indicated on the package. Usually it is 5 years. After the expiration date, the medication should be disposed of.
What helps?
"Motilium" during pregnancy is prescribed with extreme caution. The medication is indicated in the following conditions:
- flatulence and a feeling of bloating;
- digestive disorders, accompanied by nausea and vomiting;
- dyspepsia of an organic, infectious or functional nature;
- a feeling of heaviness and discomfort in the upper gastrointestinal tract.
Who is contraindicated in?
This drug is not for everyone. There are people to whom it is contraindicated. For example, those who have:
- bleeding in the gastrointestinal tract;
- bowel obstruction;
- disorders in the liver and kidneys of varying severity;
- intolerance to the components of the drug;
- prolactinoma;
- heart failure and background diseases of the cardiovascular system.
The instructions for the use of Motilium during pregnancy indicate that in the absence of the concomitant symptoms listed above, the use of the drug is allowed. However, it should be taken with caution and only after consulting a doctor.
During pregnancy and breastfeeding
During pregnancy, Motilium helps to get rid of the symptoms of nausea, vomiting, and those conditions that may result from toxicosis. Due to its poor absorption and inability to accumulate this drug, doctors sometimes prescribe to pregnant and lactating women.
"Motilium" during pregnancy in the early stages helps to cope with toxicosis. Women who suffer from nausea and vomiting find salvation in this drug. However, since its effect on the fetus has not yet been fully studied, the use of this medication without a full examination and doctor's prescription is not recommended.
As for the use of Motilium during late pregnancy, caution is also important here. This drug does not cause serious changes in the body, so it is also not dangerous for the fetus. But each woman, like her child, is individual, so do not neglect the advice of a doctor before taking the drug.
The active substance of the drug is able to penetrate into breast milk. However, its concentration in it is extremely small. Since it has not been fully studied whether domperidone harms the body of a newborn baby, it is recommended to take the drug only if the expected benefit to the mother will be greater than the potential risk to the fetus. Also, the instructions for use stipulate that mother is better to abandon breastfeeding while taking the medication.
We can say that taking Motilium during pregnancy and lactation is a purely individual affair of every woman. But nevertheless, self-medication can only harm the mother and the child, so taking medications should be carried out under the strict supervision of specialists.
Dosage and dosage regimen
"Motilium" during pregnancy, as in other conditions, has a certain dosage regimen and method of application. It is better to take it before meals, because after ingestion the absorption of the active substance worsens.
For adults and children who are over 12 years old and whose body weight is more than 35 kg, it is recommended to take 4 tablets of 10 mg per day. That is, the daily dose of the drug is 40 mg. 3 tablets must be consumed during the day and 1 before bedtime.
Initially, the drug is taken for a month. After this period, you need to reassess your condition and, if necessary, conduct a survey. The doctor will either recommend continuing to take Motilium, or cancel it, possibly replacing another drug.
It is important to draw your attention to the fact that the duration of the drug without a doctor’s prescription should not exceed two weeks. If you suddenly missed the time of taking the medication, then you should not use a double dose during the next dose. It is enough just to continue to drink tablets according to the established scheme.
Children under 12 years old are not recommended to give the drug in tablet form. Especially for the treatment of pediatric patients, a suspension of Motilium is provided. It must be given to the child strictly at the same time. The amount of drug given at one time depends on the condition of the child and his body weight. These nuances are prescribed in the instructions for use.
With acid reflux (in common people - heartburn), the drug should be taken half an hour before meals. It is also important to strictly observe the prescribed dosage. For this, a special measuring pipette or syringe is provided.
Adverse Conditions
Based on pharmacological studies and real reviews about Motilium, a number of possible side effects are given in the instructions for use. The probable frequency of occurrence of these most adverse human conditions is also indicated. Among them, dry mouth is most common. This symptom is noted from 1 to 10 percent of people taking the drug.
Rarely enough, such conditions of the body as diarrhea, decreased libido, anxiety, sleep disturbances, headaches, rashes, itching or irritation on the skin, increased fatigue, increased production of breast milk and increased sensitivity of the breast, reaching the onset of pain in the mammary gland, can occur. .
Also, side effects may include urticaria, Quincke's edema (as a manifestation of an allergic reaction to the components of the drug), increased irritability and nervousness, cramps and hyperkinesis, tics, increased production of the hormone prolactin, leading to gynecomastia (an increase in the mammary glands in the male) or stopping the female menstrual cycle, problems with urination, arrhythmia, or abnormalities in the liver and kidneys.
Overdose symptoms
Overdose situations with Motilium practically do not occur among adults. While infants and older children are more prone to symptoms of an overdose of the drug. Among them, altered consciousness, involuntary muscle contractions, hyperkinesis, tics, disorientation in space and time, sleep disturbances and various extrapyramidal reactions are often observed.
If you observe symptoms of severe overdose, then you need to urgently flush the stomach and take activated charcoal. The most important thing is to carry out such manipulations no later than an hour after taking the drug.
Motilium for children
This drug is also effective in the treatment of pediatric patients. Moreover, it can be used almost from birth. In the instructions for use of the Motilium suspension for children, the indications for taking Motilium in infancy and childhood are frequent and profuse regurgitation, nausea, vomiting, poisoning, constipation and other disorders of the gastrointestinal tract.
Do not forget that self-medication is fraught with serious complications. Therefore, when you see a symptom suitable for you in the indications for use, you should not stuff the child with medicine without a doctor's prescription.
The instructions for use of the suspension "Motilium" for children indicate that it must be taken half an hour before a child eats food. It is even better to give it to children before bedtime.
If the child has pain or discomfort in the epigastric region, then the dosage of the drug is calculated based on weight. Thus, for every 10 kg of weight 2.5 ml of syrup is given. In this case, take the drug three times a day.
If your child is tormented by nausea and vomiting, then they give 5 ml of medicine for every 10 kg of body weight. Also before meals or at night.
How long does Motilium work? After half an hour, the drug reaches its maximum concentration. However, the final elimination of symptoms, especially frequent regurgitation, will occur no earlier than 2-3 days after the start of treatment. The course of use of the drug is usually about two weeks.
"Motilium" during pregnancy: reviews
Will the medicine harm the baby? This is the most common question for women in the position that they ask before taking each medicine.
"Motilium" does not refer to aggressive drugs that can cause serious changes in the development of the baby. However, it is not recommended to take it to pregnant women without a doctor’s prescription. Only a qualified specialist is able to adequately assess the situation, take into account all your individual characteristics and determine the need for drug therapy.
As for the reviews of those who took "Motilium", they are quite positive. Many believe that doctors will not advise bad and do not prescribe a harmful medicine, especially to a pregnant woman.
Others believe that any medicine is harmful to a woman bearing a child. Therefore, the symptoms of nausea and vomiting, otherwise called toxicosis, it is better to remove folk remedies. They advise using salted crackers, lemon or peppermint candies for this.
However, almost everyone who took this drug says about its effectiveness. But there is one “but” - this is the price of the medication. It is high enough, which makes people look for cheaper analogues.
Price and analogues of Motilium
The cost of Motilium is quite high, and therefore not everyone can afford it. The price varies depending on the dosage form of the drug. For example, a suspension for children in the amount of 100 ml will cost you 850 rubles. Motilium in the form of tablets is somewhat cheaper. If there is one blister in the package, then the drug will cost about 500 rubles, and if three, then 800 rubles.
Like any other drug, Motilium has analogues cheaper.
All such medicines are divided into two groups: drugs that have the same active substance in their composition, and drugs that have the same effect, but consisting of other components:
- "Ganaton" is an analogue of "Motilium", which is also prescribed for disorders of the gastrointestinal tract, vomiting, nausea and bloating. In addition, it is also used for colic, loss of appetite and even anorexia. 10 tablets cost 300 rubles. Since there are other medicinal components in this drug, the side effects and contraindications will be different. For example, this drug is prohibited during pregnancy, for lactating women and children under 16 years of age.
- "Brulium Lingvatabs" is also an analogue that helps combat the manifestations of dyspepsia. This is a fairly strong drug, so take it in small dosages. It is contraindicated in young children whose body weight has not reached 35 kg. The price range of the drug is from 120 rubles to 240 rubles.
- "Motilak" - refers to a group of drugs that contain similar active ingredients. You can find tablets for oral administration and for resorption. Contraindications to this drug are similar to contraindications to Motilium. The only difference between them is that Motilak is not recommended for children weighing less than 20 kg. Motilak costs about 250 rubles.
- Metoclopramide is the cheapest analogue, one of the drugs, which in its composition contains other active substances, but performs the same functions as Motilium. The active substance is metoclopramide hydrochloride. The medication is available in two dosage forms: in tablets and in a solution for intramuscular and intravenous injections. However, there are limitations when taking this drug. It is prohibited for people suffering from bronchial asthma, pregnant women, nursing women and for children under three years of age. The cost of the medication does not exceed 150 rubles.
- "Tserukal" - an analogue of the type "Metoclopramide". The active substance and dosage forms of the drug are the same. However, he has more contraindications. Among them are Parkinson's disease, epilepsy, pheochromocytoma, dyskinesia, and the lactation period. Another disadvantage of this drug is the greater number of side effects that may occur when taking it. These include changes in consciousness, hallucinations and Parkinson's syndrome. It turns out that the low price of the drug does not guarantee its quality. You can buy this analogue in any pharmacy in the price range from 30 to 250 rubles.
- Domperidone is an analogue that is available in two forms: Domperidone Hexane and Domperidone Teva. This drug is effective in combating acid reflux, colic and vomiting, and also improves the functioning of the gastrointestinal tract. "Domperidone" is recommended for use in the postoperative period for establishing digestion, as well as for hiccups, cholecystitis and to neutralize the negative effects of medicines. This medicine has four forms of release: rectal suppositories, tablets, suspensions and a form for oral use. Of the contraindications, chest age, the presence of internal bleeding and intestinal obstruction are added. The price range starts at 100 rubles. This medication is often prescribed during pregnancy. However, it is not recommended for breastfeeding, since its concentration in breast milk reaches as much as 50 percent.
- "Maalox" - is prescribed in the treatment of the duodenum and stomach, gastritis, flatulence, high acidity, bloating and gastroduodenitis. It is the main competitor of Motilium. The drug is contraindicated in people with a lack of phosphorus in the blood and Alzheimer's disease, as well as in children under 15 years of age. The price varies depending on the dosage form of the release and ranges from 120 to 520 rubles.
- Motizhect is very similar to Motilium, but it is forbidden to children under 5 years of age who weigh less than 20 kg. A feature of the use of this drug is that it is allowed to use 2 tablets at a time in severe cases, and up to 6 tablets per day. However, there is still a limit of 60 mg per day. The drug is taken 15 minutes before meals for better absorption. In case of an overdose of this drug, arrhythmia, a decrease in blood pressure and sleep disturbances are observed.In such a situation, it is enough to take activated carbon at the rate of 1 tablet per 10 kg of weight. If an allergic reaction occurs, it is necessary to take an antihistamine. The price for a pack of 30 tablets is about 150 rubles.